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Bilateral Ultrasound-Guided Infraclavicular Blocks

Dr. Brandon Winchester performs bilateral ultrasound-guided infraclavicular blocks for a patient having ORIF of bilateral distal radius fractures. In addition to demonstrating the block techniques he discusses several important additional factors unique to this case including vascular access, pulmonary considerations, and minimization of local anesthesia toxicity risk. Regarding pneumothorax risk, this is not a traditional medially placed landmark-based infraclavicular technique. This ultrasound-guided technique is much more lateral thus the needle is entirely lateral to the thorax and angling parallel to or slightly laterally (away from) pleura. This ultrasound technique therefore should have zero risk of pneumothorax when performed properly.

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US-Guided Infraclavicular Catheter- D...

Brandon Winchester performs a continuous infraclavicular catheter and demonstrates the identification and avoidance of an aberrant vein in the usual path of the needle. Other tips demonstrated include:
-holding the non-sterile ultrasound transducer through the clear sterile drape
-3 keys to needl...

US-Guided Infraclavicular Block

Dr. Winchester places a single-shot infraclavicular block for postop analgesia for an ulnar nerve transposition at the elbow. He prefaces the block by discussing the three key steps to optimal needle visualization, then proceeds with a multiple injection technique targeting each of the three cord...